| NPI | 1578664181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI NEVINS O PT Ician 317-353-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: IN 31426) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |